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Dual Diagnosis Capability in Mental Health and Addiction Treatment Services: An Assessment of Programs Across Multiple State Systems

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Abstract

Despite increased awareness of the benefits of integrated services for persons with co-occurring substance use and psychiatric disorders, estimates of the availability of integrated services vary widely. The present study utilized standardized measures of program capacity to address co-occurring disorders, the dual diagnosis capability in addiction treatment and dual diagnosis capability in mental health treatment indexes, and sampled 256 programs across the United States. Approximately 18 % of addiction treatment and 9 % of mental health programs met criteria for dual diagnosis capable services. This is the first report on public access to integrated services using objective measures.

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Acknowledgments

This research was supported by The Robert Wood Johnson Foundation Substance Abuse Policy Research Program (#63110) and by the Substance Abuse and Mental Health Services Administration Co-Occurring Disorder Implementation and Innovation (#8732). The authors are grateful to the states, tribes and other organizations participating in the DDCAT/DDCMHT/DDCHCS Learning Collaborative, as well as the treatment providers and patients in the community programs. The data reported in this manuscript were presented at the annual meeting of the American Psychiatric Association, Philadelphia, PA, on May 7th, 2012.

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Authors and Affiliations

  1. Department of Psychiatry, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, NH, 03766, USA

    Mark P. McGovern & Chantal Lambert-Harris

  2. Associate Research Professor, University of Missouri, Kansas City, MO, USA

    Heather J. Gotham

  3. Westat, Inc, Rockville, MD, USA

    Ronald E. Claus

  4. Community & Family Medicine, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, NH, 03766, USA

    Mark P. McGovern & Haiyi Xie

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  1. Mark P. McGovern
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  2. Chantal Lambert-Harris
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  4. Ronald E. Claus
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  5. Haiyi Xie
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Correspondence to Mark P. McGovern.

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McGovern, M.P., Lambert-Harris, C., Gotham, H.J. et al. Dual Diagnosis Capability in Mental Health and Addiction Treatment Services: An Assessment of Programs Across Multiple State Systems. Adm Policy Ment Health 41, 205–214 (2014). https://doi.org/10.1007/s10488-012-0449-1

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